Mackenzie Jo-Ane Jaquith, MA, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

715 Putnam Pike
Greenville, RI 02828-1428

Phone

(401) 618-6991

Fax

(401) 618-6995

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1548801129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281428",
            "telephone_number": "401-618-6991",
            "fax_number": "401-618-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281428",
            "telephone_number": "401-618-6991",
            "fax_number": "401-618-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUITH",
        "first_name": "MACKENZIE",
        "middle_name": "JO-ANE",
        "name_prefix": "Mrs.",
        "credential": "MA, LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Huhn, DPT
• Robin L Jackman, P.T.A
• Michelle Jackson, NP
• Bianca Jacques
• Mureen Angella James
• Jean Resnevic, DMD, LLC
• David Jennings, O.D.
• Noelle Johnston
• Julia Kach
• Amanda Keegan, PT

• Behavior Analyst in Greenville, RI
• Providers in Greenville, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.